How are hemorrhoids diagnosed. What are the treatment options for hemorrhoids. Who should you consult for hemorrhoid issues. What procedures are used to examine and treat hemorrhoids.

Understanding Hemorrhoids: Types and Symptoms

Hemorrhoids are a common medical condition affecting millions of people worldwide. They are swollen veins that can develop in two main areas:

• Internal hemorrhoids: These form inside the rectum
• External hemorrhoids: These develop under the skin around the anus

While hemorrhoids are rarely dangerous, they can cause significant discomfort and impact quality of life. Common symptoms include:

• Itching or irritation in the anal area
• Pain or discomfort, especially during bowel movements
• Bleeding during bowel movements
• Swelling around the anus
• A lump near the anus, which may be sensitive or painful

Diagnosing Hemorrhoids: Medical History and Physical Examination

When seeking medical attention for hemorrhoid symptoms, your doctor will typically start with a thorough evaluation. This process usually includes:

Medical History

Your doctor will ask about your symptoms, eating habits, toilet habits, and any current medical conditions. They may also inquire about your use of enemas or laxatives. This information helps provide context for your symptoms and potential contributing factors.

Physical Examination

A physical exam is crucial for diagnosing hemorrhoids. During this examination, your doctor will:

• Check the area around your anus for lumps, swelling, or prolapsed internal hemorrhoids
• Look for external hemorrhoids with blood clots
• Assess for any leakage of stool or mucus
• Examine the skin for irritation or skin tags
• Check for anal fissures, which are small tears that can cause itching, pain, or bleeding

Digital Rectal Exam

As part of the physical examination, your doctor will likely perform a digital rectal exam. This involves inserting a gloved, lubricated finger into the rectum to:

• Check the tone of the anal muscles
• Assess for tenderness
• Feel for any internal hemorrhoids, lumps, or masses

Advanced Diagnostic Procedures for Hemorrhoids

In some cases, your doctor may recommend additional procedures to diagnose internal hemorrhoids or rule out other conditions. These may include:

Anoscopy

An anoscopy involves using a small, hollow tube called an anoscope to examine the lining of the anus and lower rectum. This procedure is typically performed in a doctor’s office or outpatient center and usually doesn’t require anesthesia.

Rigid Proctosigmoidoscopy

Similar to an anoscopy, this procedure uses a longer instrument called a proctoscope to view the lining of the rectum and lower colon. It’s usually done in an office, outpatient center, or hospital, and most patients don’t need anesthesia.

Other Diagnostic Procedures

In some cases, your doctor may diagnose internal hemorrhoids while performing other routine examinations of your rectum and colon, such as:

• Colonoscopy
• Flexible sigmoidoscopy

Treatment Options for Hemorrhoids: From Conservative to Surgical

The treatment approach for hemorrhoids depends on their severity and the individual patient’s needs. Options range from conservative measures to more invasive procedures:

Conservative Treatments

For mild cases of hemorrhoids, your doctor may recommend:

• Dietary changes: Increasing water and fiber intake to promote better bowel habits
• Over-the-counter medications: Creams, suppositories, ointments, or medicated pads to relieve symptoms
• Sitz baths: Soaking the affected area in warm water to reduce discomfort

Minimally Invasive Procedures

For more persistent or severe hemorrhoids, outpatient procedures may be recommended:

• Rubber band ligation: A small elastic band is placed around the base of an internal hemorrhoid to cut off its blood supply
• Sclerotherapy: A chemical solution is injected into the hemorrhoid to shrink it
• Infrared coagulation: Infrared light is used to create scar tissue, cutting off the blood supply to the hemorrhoid

Surgical Options

In cases where other treatments have failed or for very large hemorrhoids, surgical intervention may be necessary:

• Hemorrhoidectomy: Surgical removal of the hemorrhoid
• Stapled hemorrhoidopexy: A procedure that uses a stapling device to reposition the hemorrhoid tissue

Choosing the Right Healthcare Provider for Hemorrhoid Treatment

When seeking treatment for hemorrhoids, it’s important to consult with the appropriate healthcare professional. Here are some options:

Primary Care Physician

Your primary care doctor can diagnose and treat mild to moderate hemorrhoids. They can also provide referrals to specialists if necessary.

Gastroenterologist

These specialists focus on digestive health and can provide advanced diagnostic procedures and treatments for hemorrhoids.

Colorectal Surgeon

For severe cases or when surgical intervention is needed, a colorectal surgeon specializes in treating conditions of the colon, rectum, and anus, including hemorrhoids.

Preventing Hemorrhoids: Lifestyle Changes and Home Remedies

While not all hemorrhoids can be prevented, certain lifestyle changes can reduce your risk:

• Eat a high-fiber diet to prevent constipation
• Stay hydrated by drinking plenty of water
• Exercise regularly to promote good bowel function
• Avoid straining during bowel movements
• Don’t sit on the toilet for long periods

Home remedies that may help alleviate symptoms include:

• Using over-the-counter creams or suppositories
• Applying ice packs to reduce swelling
• Taking warm baths to soothe the affected area

When to Seek Medical Attention for Hemorrhoids

While many cases of hemorrhoids can be managed at home, certain symptoms warrant medical attention:

• Persistent bleeding during bowel movements
• Severe pain or discomfort that doesn’t respond to home treatments
• A lump or swelling around the anus that doesn’t go away
• Changes in bowel habits that last more than a week

If you experience any of these symptoms, it’s important to consult with a healthcare professional for proper diagnosis and treatment.

Understanding the Impact of Hemorrhoids on Quality of Life

While hemorrhoids are a common condition, they can significantly impact an individual’s quality of life. Some ways hemorrhoids may affect daily living include:

• Discomfort or pain when sitting for long periods
• Embarrassment or anxiety about symptoms
• Interference with work or social activities
• Sleep disturbances due to discomfort
• Concerns about intimacy or sexual activity

It’s important to address these concerns with your healthcare provider, as they can offer solutions and support to help manage the physical and emotional aspects of living with hemorrhoids.

Emotional and Psychological Support

Dealing with hemorrhoids can be stressful and emotionally challenging. Some strategies to cope with the emotional impact include:

• Joining support groups or online communities for individuals with similar conditions
• Practicing stress-reduction techniques like meditation or yoga
• Seeking counseling or therapy if the condition is causing significant anxiety or depression

Emerging Treatments and Research in Hemorrhoid Management

The field of hemorrhoid treatment continues to evolve, with new techniques and approaches being developed. Some areas of research and emerging treatments include:

Minimally Invasive Techniques

Researchers are exploring new minimally invasive procedures that can effectively treat hemorrhoids with less pain and faster recovery times. These may include:

• Transanal hemorrhoidal dearterialization (THD): A technique that uses Doppler guidance to locate and tie off the blood vessels feeding the hemorrhoid
• Radiofrequency ablation: Using radio waves to shrink hemorrhoids

Biofeedback Therapy

Some studies are investigating the use of biofeedback therapy to help patients better control their anal sphincter muscles, potentially reducing symptoms associated with hemorrhoids.

Dietary and Herbal Supplements

Research is ongoing into the potential benefits of various dietary supplements and herbal remedies for managing hemorrhoid symptoms. While some show promise, it’s important to consult with a healthcare provider before trying any new supplements.

Long-Term Management and Follow-Up Care for Hemorrhoids

After initial treatment for hemorrhoids, long-term management is crucial to prevent recurrence and maintain overall anal health. This may involve:

Regular Check-Ups

Scheduling follow-up appointments with your healthcare provider to monitor your condition and address any new or persistent symptoms.

Lifestyle Maintenance

Continuing to practice healthy habits that reduce the risk of hemorrhoid development, such as:

• Maintaining a high-fiber diet
• Staying hydrated
• Exercising regularly
• Practicing good toilet habits

Ongoing Symptom Management

Working with your healthcare provider to develop strategies for managing any lingering symptoms or preventing flare-ups. This may include:

• Using topical treatments as needed
• Incorporating regular sitz baths into your routine
• Learning to recognize early signs of a flare-up and taking prompt action

By staying proactive in your hemorrhoid management and maintaining open communication with your healthcare provider, you can effectively manage this condition and minimize its impact on your daily life.

Diagnosis of Hemorrhoids – NIDDK

Your doctor can often diagnose hemorrhoids based on your medical history and a physical exam. He or she can diagnose external hemorrhoids by checking the area around your anus. To diagnose internal hemorrhoids, your doctor will perform a digital rectal exam and may perform procedures to look inside your anus and rectum.

Medical history

Your doctor will ask you to provide your medical history and describe your symptoms. He or she will ask you about your eating habits, toilet habits, enema and laxative use, and current medical conditions.

Your doctor will ask you to provide your medical history and
describe your symptoms.

Physical exam

Your doctor will check the area around your anus for

• lumps or swelling
• internal hemorrhoids that have fallen through your anal opening, called prolapse
• external hemorrhoids with a blood clot in a vein
• leakage of stool or mucus
• skin irritation
• skin tags––extra skin that is left behind when a blood clot in an external hemorrhoid dissolves
• anal fissures—a small tear in the anus that may cause itching, pain, or bleeding

Your doctor will perform a digital rectal exam to

• check the tone of the muscles in your anus
• check for tenderness, blood, internal hemorrhoids, and lumps or masses

Procedures

Your doctor may use the following procedures to diagnose internal hemorrhoids:

• Anoscopy. For an anoscopy, your doctor uses an anoscope to view the lining of your anus and lower rectum. Your doctor will carefully examine the tissues lining your anus and lower rectum to look for signs of lower digestive tract problems and bowel disease. Your doctor performs an anoscopy during an office visit or at an outpatient center. Most patients do not need anesthesia.
• Rigid proctosigmoidoscopy. Rigid proctosigmoidoscopy is similar to anoscopy, except that your doctor uses an instrument called a proctoscope to view the lining of your rectum and lower colon. Your doctor will carefully examine the tissues lining your rectum and lower colon to look for signs of lower digestive tract problems and bowel disease. Your doctor performs this procedure during an office visit or at an outpatient center or a hospital. Most patients do not need anesthesia.

Your doctor may diagnose internal hemorrhoids while performing procedures for other digestive tract problems or during routine examination of your rectum and colon. These procedures include colonoscopy and flexible sigmoidoscopy.

Last Reviewed October 2016

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This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases
(NIDDK), part of the National Institutes of Health. The NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by the NIDDK is carefully reviewed by NIDDK scientists and other experts.

Hemorrhoid Treatment Services | UPMC Central Pa.

The colon and rectal specialists at UPMC in Central Pa. provide personalized surgical and nonsurgical care to treat discomfort caused by hemorrhoids.

Why choose UPMC for hemorrhoid treatment?

Although hemorrhoids are very common and rarely dangerous, they can affect your quality of life and cause significant discomfort and embarrassment. Our colon and rectal care specialists provide expert diagnosis and personalized treatment for hemorrhoids. Whether you need surgical or nonsurgical care, we will work closely with you to find the best treatment option for your specific condition.

What are hemorrhoids?

Hemorrhoids are swollen veins that can develop inside your rectum, called internal hemorrhoids, or under the skin around your anus, called external hemorrhoids.

How are hemorrhoids treated?

Our experts offer a full range of hemorrhoid treatments, including:

Nonsurgical Treatment for Hemorrhoids

• Dietary planning. Your doctor may recommend that you include more water and high-fiber foods in your diet to promote good bowel habits, which can reduce your risk of developing hemorrhoids.
• Medications. For mild cases of hemorrhoids, your doctor may recommend treatment using creams, suppositories, ointments, or medicated pads.

Procedures for Hemorrhoids

Our board-certified colon and rectal surgeons use outpatient, less-painful techniques to treat hemorrhoids. Minimally invasive procedures to treat hemorrhoids often can be performed in our office and include:

• Hemorrhoid banding. Hemorrhoid banding, also called rubber band ligation, involves placing tiny rubber bands around a hemorrhoid to cut off the blood flow. The lack of blood flow causes the hemorrhoid to shrink and fall off.
• External hemorrhoid thrombectomy. An external hemorrhoid thrombectomy treats a painful blood clot called a thrombosis that can form in an external hemorrhoid. Your doctor will make a small incision in the hemorrhoid to excise the clot.

Surgical Procedures for Hemorrhoids

Our board-certified colon and rectal surgeons use the latest surgical techniques to treat hemorrhoids. These include:

• Hemorrhoidectomy. Hemorrhoidectomy is a procedure to remove your hemorrhoid. You may receive local anesthesia with sedation or general anesthesia depending on surgical technique that is used and your specific situation.
• Stapled hemorrhoidopexy. This procedure cuts off blood flow to an internal hemorrhoid using staples.

What are the symptoms of hemorrhoids?

Some hemorrhoids do not cause any symptom; however, common symptoms may include:

• A sensitive or painful lump near your anus
• Bleeding during bowel movements, usually without pain
• Itching, swelling, or irritation around your anus
• Pain or discomfort around your anus

Thrombosed hemorrhoids, which occur when a blood clot forms inside the hemorrhoid, can be extremely painful.

Who is at risk for hemorrhoids?

Hemorrhoids are caused by increased pressure in the lower rectum and are extremely common, affecting nearly 75 percent of adults at some point in their lives. Hemorrhoids are more likely to occur in older people because the tissues that support the veins in your rectum and anus stretch and weaken as you age. Other causes of hemorrhoids include:

• Constipation
• Obesity
• Straining during bowel movements
• Sitting on the toilet for long periods of time
• Pregnancy

How can I prevent hemorrhoids?

Maintaining good bowel habits can lower your risk of developing hemorrhoids. Eating a diet rich in fiber, drinking plenty of water, and exercising regularly can promote regular bowel movements and help you avoid constipation and straining.

UPMC Pinnacle Colon and Rectal Surgery

• Jadd W. Koury, MD
• Andrew J. Richards, MD

Our Locations

Carlisle Surgical Institute: Carlisle, Pa.

19 Sprint Dr.
Suite 3
Carlisle, PA 17015

Learn more about Carlisle Surgical Institute.

UPMC Specialty Care Gastroenterology Associates: Hanover, Pa.

Medical Office Building
310 Stock St.
Suite 8
Hanover, PA 17331

Our Hours

• Monday through Friday – 8 a.m. to 5 p.m.
• Holidays – Closed on most major holidays, including Martin Luther King Day.

Our Services

• Colonoscopy
• Colorectal Cancer Prevention and Screening
• Endoscopy
• Gastrointestinal and Digestive Health

Our Providers

• Chintamani Gokhale, MD
• Shmuel Golfeyz, MD
• Rohit Jindal, MD
• Rahul Sao, MD
• Guoxiang Shi, MD
• Bakhtiar Syed, MD
• Pin Wang, MD
• Kimberly A. Furman, PA-C
• Kara S. Greer, PA-C
• Christopher W. Gurreri, PA-C
• Thomas G. Scoufalos, PA-C
• Ann Marie Swords, PA-C
• Amber Diaz, PA-C
• Aisha Ghauri, PA-C
• Megan Sell, CRNP

Conditions and Treatments

Your gastrointestinal (GI) system is one of the most important aspects of your health. When you suffer from digestive issues, it can be painful — and even harmful if left untreated. If you think you might suffer from one of the conditions below, be sure to call us at 717-741-1414 to schedule an appointment.

• Abdominal pain/stomach pain
• Barrett’s esophagus
• Biliary disease
• Celiac disease
• Chronic constipation
• Cirrhosis
• Colon cancer screening
• Eosinophilic esophagitis
• Fatty liver disease
• Fecal incontinence
• Gastroesophageal Reflux Disease(GERD)/acid reflux
• Hepatitis
• Inflammatory Bowel Disease (IBD)
• Irritable Bowel Syndrome (IBS)
• Jaundice
• Liver disease
• Peptic ulcer disease
• Pancreatic insufficiences
• Rectal bleeding
• Swallowing problems (dysphagia) 

Gastrointestinal Procedures

UPMC Specialty Care Gastroenterology offers a variety of procedures to help treat your GI issues including:

• Bravo
• Capsule Endoscopy
• Colonoscopy
• ERCP
• Fecal Transplant
• Upper Endoscopy (EGD)

Patient Resources

• Colonoscopy Preparation (PDF) 

Schedule a new patient appointment online

Leader Surgical Associates-UPMC: York, Pa.

UPMC Memorial
1703 Innovation Dr.
Suite 3136
York, PA 17408

Phone: 717-741-3449

Learn more about UPMC Memorial. 

Surgical Specialists of Lancaster – UPMC: Lancaster, PA

2101 Embassy Dr.
Lancaster, PA 17603

• Phone: 717-735-7410
• Fax: 717-735-7438

We offer a comprehensive array of general, vascular, foot and ankle surgical options in the Lancaster region with experienced surgeons and staff who treat you with compassion and respect. Your satisfaction, comfort, and health are our top priorities.

Our Hours

• Monday through Thursday – 8 a.m. to 4:30 p.m.
• Friday – 8 a.m. to 3:30 p.m.
• Holidays – Closed on most major holidays, including Martin Luther King Jr. Day.

Our Services

• Abdominal and Thoracic Aortic Repair or Replacement (AAA/TAA/EVAR/TEVAR)
• Carotid Endarterectomy
• Endovascular Thoracic and Abdominal Aneurysm Repair
• Foot & Ankle
• General Surgery
• Hernia Repair
• Vein Treatments & Services

Some of the procedures we commonly perform for our patients:

• Vascular procedures
• Abdominal Aortic Aneurysm repair – Including Endovascular Repair
• Carotid Endarterectomy
• Arterial Leg Bypass – Including minimally invasive
• Endovascular procedures
• Varicose Veins- Including minimally invasive closure procedures
• Dialysis Access
• Fistulas, grafts, catheters
• General procedures
• Hernia Repair
• Colon Surgery / Laparoscopic Colon Resection Surgery
• Appendectomy / Splenectomy
• Hemorrhoidectomy
• Breast Surgery
• Laparoscopic Cholecystectomy
• Robotics
• Minor Surgical Procedures
• Foot and Ankle Wound Care
• Foot and Ankle procedures relative to Wound Management
• Hyperbaric Wound healing procedures

Our Providers

• Jadd W. Koury, MD
• Andrew J. Richards, MD
• Larry L. Sollenberger, MD

Surgical Specialists of Lancaster – UPMC: Lititz, PA

1575 Highlands Dr.
Suite 200
Lititz, PA 17543

• Phone: 717-735-7410
• Fax: 717-735-7438

We offer a comprehensive array of general, vascular, foot and ankle surgical options in the Lancaster region with experienced surgeons and staff who treat you with compassion and respect. Your satisfaction, comfort, and health are our top priorities.

Our Hours

• Monday – 8 a.m. to 11:30 a.m. (Dr. Vaughn only)
• Holidays – Closed on most major holidays, including Martin Luther King Jr. Day.

Our Services

• Abdominal and Thoracic Aortic Repair or Replacement (AAA/TAA/EVAR/TEVAR)
• Carotid Endarterectomy
• Endovascular Thoracic and Abdominal Aneurysm Repair
• Foot & Ankle
• General Surgery
• Hernia Repair
• Vein Treatments & Services

Some of the procedures we commonly perform for our patients:

• Vascular procedures
• Abdominal Aortic Aneurysm repair – Including Endovascular Repair
• Carotid Endarterectomy
• Arterial Leg Bypass – Including minimally invasive
• Endovascular procedures
• Varicose Veins- Including minimally invasive closure procedures
• Dialysis Access
• Fistulas, grafts, catheters
• General procedures
• Hernia Repair
• Colon Surgery / Laparoscopic Colon Resection Surgery
• Appendectomy / Splenectomy
• Hemorrhoidectomy
• Breast Surgery
• Laparoscopic Cholecystectomy
• Robotics
• Minor Surgical Procedures
• Foot and Ankle Wound Care
• Foot and Ankle procedures relative to Wound Management
• Hyperbaric Wound healing procedures

Our Providers

• David Arthur Vaughn, MD

UPMC Pinnacle Colon and Rectal Surgery: Harrisburg, Pa.

3907 N. Front St.
Harrisburg, PA 17110

• Main Number and Direct Access Colonoscopy: 717-232-4567
• Fax: 717-232-8152

Our Hours

• Monday through Thursday – 7:30 a.m. to 4:30 p.m.
• Friday – 7:30 a.m. to 4 p.m.
• Holidays – Closed on most major holidays, including Martin Luther King Day.

Our Providers

• Daniel Goldman, MD
• Jadd W. Koury, MD
• Andrew J. Richards, MD

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Minimally invasive treatment for hemorrhoids without pain | Proctology in Moscow

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4 ways treatment of hemorrhoids
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Hemorrhoids is considered one of the diseases of the century, affecting people who lead a sedentary or sedentary lifestyle. The disease is characterized by an increase in hemorrhoids, also called bumps, due to circulatory disorders. They often become inflamed, bleed and fall out of the anus. If you do not take measures, bleeding leads to anemia.

Classification

According to clinical manifestations, hemorrhoids can be acute and chronic. It is also divided into internal, external and combined.

The course of the disease is characterized by 4 successive stages:

1. Expansion and inflammation of the bumps, the periodic appearance of red blood after the act of defecation.

2. Loss of nodes during straining during the act of defecation, their independent reduction at the end of the process.

3. Knots fall out during slight physical exertion, manual reduction is required.

4. Prolapsed hemorrhoids cannot be returned to the anus on their own.

Symptoms

Varicose veins in the anus develop imperceptibly and are accompanied by signs that are not immediately noticed. The onset of the disease is accompanied by itching in the region of the rectal opening. After a while, a person notices blood on the toilet paper after visiting the toilet. Its amount depends on the stage of the disease. In parallel with this, the following symptoms occur:

– enlarged and compacted bumps cause pain, fall out when straining;

– after going to the toilet there is a feeling of incomplete bowel movement;

– increased gas formation;

– constipation occurs.

With heavy and persistent bleeding, a person has pallor of the skin, general weakness, sleep disturbances, brittle hair and nails. In such cases, you can not postpone going to the doctor for hemorrhoids.

Causes

A proctologist who treats hemorrhoids in women and men primarily notes that the problem arises due to impaired vascular function. In this case, gender does not play a special role. Formations (bumps) increase due to an increase in the inflow of arterial blood and a decrease in its outflow from the venous plexuses.

Factors contributing to the onset of the disease:

– Sedentary and sedentary lifestyle.

– Inflammatory processes in the pelvic area.

– Errors in nutrition: abuse of spicy and spicy foods.

– Bad habits.

– Frequent constipation.

– Heavy physical activity.

– Pregnancy and childbirth.

Colonoscopy without pain

The use of intravenous sedation – medical sleep during colonoscopy helps to perform a wide range of diagnostic and therapeutic procedures during one procedure, for example, removal of a polyp, without creating any discomfort for the patient.

Treatment of hemorrhoids in one day

The doctor will recommend the optimal type of surgical treatment for hemorrhoids. The operation in most cases will last 30-40 minutes. On the same day or the next, the patient can already return home. The recovery period is minimal: after 1-2 days you can usually return to work, 2-4 weeks it is recommended to follow certain precautions, which the doctor will tell you about.

Leave a request and our specialist will call you back

High-precision diagnostics

Colonoscopy in iScan expert mode
detects neoplasms of the intestinal wall at an early stage, which are indeterminate during conventional endoscopy, intestinal bleeding, obstruction, the presence of foreign bodies, etc. To clarify the diagnosis, a tissue biopsy is performed with subsequent examination. It is carried out using sedation.

Virtual Colonoscopy
allows you to get not only a three-dimensional image of the intestine, but also replaces the classic colonoscopy in some cases, for example, in the case of adhesions, narrowing of the intestinal lumen by a tumor. The procedure takes less time, is more comfortable for the patient, painless, does not injure the intestinal walls.

Rectosigmoscopy (sigmoidoscopy) – endoscopic examination of the rectum and sigmoid colon, the best way to early detection of tumors of this localization.

Before starting treatment, an anamnesis is collected, after which an examination is performed. To do this, the patient needs to go to the gynecological chair or take a knee-elbow position on the couch. Inspection is carried out by the method of finger research. If necessary, the specialist prescribes the following examinations to make an accurate diagnosis:

– Ultrasound of the abdominal organs;

– anoscopy;

– sigmoidoscopy;

– irrigoscopy;

– colonoscopy.

Our clinic is equipped with only modern equipment. Sensitive, understanding specialists conduct research as comfortably and painlessly as possible. If possible, the most minimally invasive treatment methods are chosen.

Effective treatment

At an early stage of development, many diseases of the large intestine (rectum and colon), anus, and pararectal region are amenable to conservative treatment. However, in some cases, it is possible to radically solve the problem, that is, to achieve the complete disappearance of all painful symptoms (discomfort during defecation, pain and bleeding from the rectum, etc. ), only by surgical intervention.

• For example, in the treatment of hemorrhoids in the early stages, the effectiveness reaches 97% of cases, at stages 2-3 – 85%

At the same time, the time of stay in the hospital usually does not exceed a day, or even several hours.

Divided into conservative therapy, minimally invasive methods and surgical procedures. The tactics of treatment directly depends on the stage of the disease.
Conservative therapy is prescribed for the first two stages. It is intended to relieve symptoms, does not eliminate existing diseases. Includes:

– a special diet, the purpose of which is to normalize the stool in case of frequent diarrhea or soften the stool in case of constant constipation;

– laxative medicines, if necessary;

– preparations that strengthen the venous walls.

For the treatment of external hemorrhoids, the doctor additionally prescribes suppositories and ointments to relieve inflammation, reduce pain and itching, and stop bleeding.

Our clinic performs surgical operations and uses minimally invasive methods. The latter allow treatment without pain and with minimal tissue trauma.

Surgical interventions and procedures carried out by our specialists:

• HAL-RAR desarterization. It consists in ligation of small vessels that feed the hemorrhoidal cones.
• Sclerotherapy. Resorption of cones by introducing drugs into the area of ​​\u200b\u200btheir blood supply.
• Milligan-Morgan hemorrhoidectomy. Refers to low-traumatic techniques. During the procedure, one node is removed.
• Harmonic ultrasonic scalpel. With the help of tissue dissection by ultrasound, it is possible to carry out safe operations. Burns and excessive trauma to the mucous membranes are excluded.
• Colonoscopy. Remove foreign bodies from the rectum, remove neoplasms and stop intestinal bleeding.
• Ligation of blood vessels. It is used in the presence of one internal node that protrudes from the anal canal. The method consists in clamping the bumps. After the cessation of blood supply, it disappears after a few days.
• Elimination of a thrombus alone or together with a bump using radio wave or electrocoagulation equipment.
• Remove outdoor unit. The procedure is carried out in the last stages of the disease. It consists in cutting off the nodes with a laser scalpel.

Which doctor to sign up for hemorrhoids

According to statistics, every seventh person faced this problem or its individual manifestations. But not everyone knows who to contact. A doctor who treats hemorrhoids in women and men may not be available in small hospitals, and then you can make an appointment with a general practitioner or surgeon. Some people think that the doctor who treats hemorrhoids in men is a urologist, but this is not so. He has a different specialization.

Proctologists, coloproctologists and surgeons are available at our clinic. The specialists have valid certificates in coloproctology and surgery. Doctors have extensive experience in dealing with various manifestations of hemorrhoids. On the site you can get acquainted with our specialists and decide which doctor to contact with a problem that has arisen.

We treat:

• hemorrhoids
• anal fissures
• paraproctitis
• rectal fistulas
• epithelial coccygeal passage

• removal of polyps
• anal fringes
• anal and perianal warts
• neoplasms
• resection and extirpation of the rectum

more about Clinical Hospital on Yauza
more about the hospital



• Clinical Hospital
  on Yauza

• 111033, Moscow,
  Volochaevskaya st. 15 k. 1
• Opening hours: daily from 8:00 to 22:00
  Phone: +7 (495) 234-42-42

What is the difference between a gastroenterologist and a proctologist

Often people suffering from unpleasant symptoms localized in the gastrointestinal tract or anus do not know which doctor they should contact, which specialist helps to get rid of what. Gastroenterologist and proctologist: what’s the difference? The appointment of a proctologist and a gastroenterologist will help to more accurately understand the problem that has arisen. We will talk about this in our article.

Who is a proctologist and what does he treat

This is a specialist in the treatment of diseases of the rectum, large intestine. The most common disease with which patients turn to a proctologist is hemorrhoids.

Pain in the abdomen, pain in the intestines. It is these complaints that often raise questions about which doctor to make an appointment with a proctologist or gastroenterologist. So who treats the intestines: a proctologist or a gastroenterologist?

The proctologist helps to get rid of:

1. Hemorrhoids. The disease occurs due to excessive varicose veins in the rectum. This leads to the formation of a hemorrhoidal bump, which falls out of the anus. Often such a lump causes discomfort, bleeding, pain in the patient.
2. Fissures occurring in the anus. They are formed due to damage to the walls of the rectum.
3. Polyps located in the large intestine. A polyp is a benign formation. Often they are hereditary.
4. Paraproctitis. This is a disease that leads to inflammation of the perirectal tissues, the formation of fistulas.

Remember: when the first signs of the pathologies described above appear, patients should immediately go to the doctor.

Symptoms:

• pain during or after defecation;
• bleeding;
• itching;
• burning;
• rectal discomfort;
• mucus, pus from the anus.

This specialist helps patients with:

• hemorrhoids;
• anal fissures;
• polyps;
• proctitis;
• paraproctitis.

Remember: the sooner a proctologist or gastroenterologist diagnoses a patient, makes a diagnosis, prescribes treatment, the sooner he will get rid of not only the symptoms, but also the disease itself.

Turning to a doctor at an early stage of the development of the disease, the patient can count on conservative therapy, which will avoid surgery. That is why the question of what the proctologist and gastroenterologist treats should be asked as early as possible.

What does a gastroenterologist treat

This is a doctor involved in the diagnosis, treatment, prevention of diseases localized in the gastrointestinal tract (GIT).

A gastroenterologist deals with the treatment of diseases of the gastrointestinal tract (stomach, intestines, pancreas, liver, etc. ). The specialist helps in the treatment of infectious, parasitic, congenital, inflammatory, oncological diseases localized in the intestines, colon, and nearby tissues. Both women and men are treated by the same specialist.

This specialist helps to get rid of:

• gastritis;
• ulcerative lesions of the duodenum, small intestine, large intestine;
• irritable bowel syndrome;
• Crohn’s disease;
• biliary dyskinesia;
• reflux, esophagitis.

When should you see a gastroenterologist?

• abdominal pain;
• stool problems – constipation or diarrhoea;
• frequent bloating and flatulence;
• heartburn, burning in the stomach;
• nausea, vomiting.

Now we know what a proctologist treats and what a gastroenterologist treats, what are the differences between a proctologist and a gastroenterologist. And if the patient is still wondering who should contact with his illness: a gastroenterologist or a proctologist, then, knowing the areas of their work, he can safely go to the right specialist.